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Last Update: Wednesday, December 18, 2024 6:43 PM CST
Next Update: Thursday, December 19, 2024 2:50 AM CST
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JACKSON, TERESA LEOLA
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This verification service provides current data extracted by the Oklahoma State Board of Medical Licensure and Supervision (OSBMLS) from its own database. The data enclosed in the green box below is provided by and controlled entirely by the OSBMLS and therefore constitutes a primary source verification of licensure status as authentic as a direct inquiry to the OSBMLS. NPI# and hospital privileges (if any) are provided by the licensee and not verified.
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| Practice Address: |
39407 VISTA DEL SOL
RANCHO MIRAGE CA 92270
Address last updated on 4/1/2024 |
| Phone #: |
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| Fax #: |
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| County: |
NOT OKLAHOMA |
| License: |
23402 |
| Dated: |
6/16/2003 |
| Expires: |
6/1/2025 |
| License Type: |
Medical Doctor |
| Specialty: |
Addiction Medicine |
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| Status: |
Active |
| Status Class: |
Fully Licensed |
| Restricted to: |
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| Registered to Dispense: |
NO |
| Medical School: |
Univ Of Az Coll Of Med, Tucson AZ 85724 |
| Graduated: |
5 /
1998 |
| CME Year: |
2027 |
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Pending and/or Past Disciplinary Actions:
No Disciplinary Action Taken.
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All information below is entered by the licensee but not verified by the Oklahoma Medical Board.
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| Certifications: |
AMERICAN BOARD OF PREVENTIVE MEDICINE - Addiction Medicine |
| New Patients: |
No |
| Medicaid: |
No |
| Medicare: |
No |
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| HMO/PPO: |
None listed |
| Hospital Privileges: |
None listed |
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